Balance in essential tremor during tandem gait: Is the first mis-step an important finding?

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dc.authorid0000-0003-2016-9965en_US
dc.authorid0000-0003-2016-9965en_US
dc.contributor.authorCinar, N.
dc.contributor.authorSahin, S.
dc.contributor.authorOnay, T. Okluoglu
dc.contributor.authorKarsidag, S.
dc.date.accessioned2024-07-12T21:50:38Z
dc.date.available2024-07-12T21:50:38Z
dc.date.issued2013en_US
dc.departmentMaltepe Üniversitesien_US
dc.description.abstractEssential tremor (ET) is the most commonly diagnosed movement disorder. ET may cause substantial loss of motor skills and balance with advanced age. We compared abnormalities in tandem gait with daily activity and Fahn-Tolosa-Marin Tremor Rating Scale (FTMTRS) scores in 90 ET patients. All patients performed a 15-step tandem three times. The mean of first mis-steps was accepted as the tandem index (TI). The mean age was 61.4 +/- 17 years; the mean duration of tremor was 6.7 +/- 4 years; and there were 36 men and 54 women. There was no significant difference for age or sex between patients and controls. Head (24.6%), jaw (5.5%), voice (11%), and tongue tremors (1.5%) were identified in ET patients. Rest (2.5%), postural (95%), and kinetic tremors (54%) were detected in the upper extremities. Postural tremor was found in the lower extremities of 5%. The mean TI was 8.3 +/- 4 (median, 8) in ET patients, and 10.6 +/- 3.9 (median, 10) in controls (p = 0.04). Correlation analysis of TI and FTMTRS scores showed tandem gait was significantly correlated with age, total tremor score, postural and kinetic extremity tremor, writing, drawing, pouring, feeding, and working scores. Linear regression showed a significant effect of age and FTMTRS score on TI. The decrease in balance control is apparent with advancing age. Balance disorders were more pronounced in ET patients. Although first mis-step in tandem gait is not as detailed as dynamic balance tests, it can be a simple method for detecting balance disorders. (C) 2013 Elsevier Ltd. All rights reserved.en_US
dc.identifier.doi10.1016/j.jocn.2013.01.013
dc.identifier.endpage1437en_US
dc.identifier.issn0967-5868
dc.identifier.issn1532-2653
dc.identifier.issue10en_US
dc.identifier.pmid23953429en_US
dc.identifier.scopus2-s2.0-84885386183en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1433en_US
dc.identifier.urihttps://dx.doi.org/10.1016/j.jocn.2013.01.013
dc.identifier.urihttps://hdl.handle.net/20.500.12415/8168
dc.identifier.volume20en_US
dc.identifier.wosWOS:000326422500020en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherELSEVIER SCI LTDen_US
dc.relation.ispartofJOURNAL OF CLINICAL NEUROSCIENCEen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKY01846
dc.subjectEssential tremoren_US
dc.subjectCerebellumen_US
dc.subjectFahn-Tolosa-Marin tremor rating scaleen_US
dc.subjectFirst mis-stepen_US
dc.subjectGaiten_US
dc.subjectTandemen_US
dc.titleBalance in essential tremor during tandem gait: Is the first mis-step an important finding?en_US
dc.typeArticle
dspace.entity.typePublication

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